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South Carolina rates for HCPCS L8415

Prosthetic Sheath Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.51 / $11.51 / $11.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.51 / $11.51 / $19.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.92 / $27.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.46 / $16.30 / $18.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $15.47 / $16.30
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.45 / $19.00 / $40.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $16.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $12.83 / $19.34